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Strategies in the Nutritional Management of Gestational Diabetes

HERNANDEZ, TERI L. PhD, RN*,†,‡; ANDERSON, MOLLY A. MS, RD§; CHARTIER-LOGAN, CATHERINE MPH*; FRIEDMAN, JACOB E. PhD; BARBOUR, LINDA A. MD, MSPH*,¶

Clinical Obstetrics & Gynecology:
doi: 10.1097/GRF.0b013e3182a8e0e5
Gestational Diabetes Mellitus
Abstract

Elucidating the optimal macronutrient composition for dietary management of gestational diabetes mellitus has enormous potential to improve perinatal outcomes. Diet therapy may result in significant cost savings if effective in deterring the need for expensive medical management within this growing population. In only 6 randomized controlled trials in 250 women, data suggest that a diet higher in complex carbohydrate and fiber, low in simple sugar, and lower in saturated fat may be effective in blunting postprandial hyperglycemia, preventing worsened insulin resistance and excess fetal growth. The use of diet in gestational diabetes mellitus remains an area in grave need for high-quality randomized controlled trials.

Author Information

Division of Women, Children, and Family Health, College of Nursing

Center for Women’s Health Research

Departments of *Medicine, Division of Endocrinology, Metabolism, and Diabetes

§Geriatric Medicine

Pediatrics

Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, University of Colorado, Anschutz Medical Campus, Aurora, Colorado

The authors declare that they have nothing to disclose.

Correspondence: Teri L. Hernandez, PhD, RN, University of Colorado Department of Medicine, Division of Endocrinology, Metabolism, and Diabetes, 12801 E. 17th Ave MS 8106, Aurora, CO, 80045. E-mail: teri.hernandez@ucdenver.edu

© 2013 by Lippincott Williams & Wilkins.